Kidney Updates 2019

Tuesday, April 16, 2019

The Hotel Hershey
100 Hotel Road
Hershey, PA


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Conference ID

D6351

Audience

This activity is designed to update nephrologists, physicians, physician assistants, certified registered nurse practitioners, dialysis nurses and technicians, renal social workers, renal dietitians and other interested health-care professionals on recent medical advances in the care of patients with chronic kidney disease (CKD). This conference will help practitioners attain the knowledge and skills to maintain competency in the management of patients with CKD.

Purpose

Chronic Kidney Disease (CKD) and the resultant end-stage renal disease (ESRD) are significant global public health problems. According to the 2018 United States Renal Data System (USRDS) report, 15 percent (30 million) of the adult U.S. general population has CKD and there were over 725,000 prevalent cases of ESRD (2016). There were 124,675 new ESRD cases in 2016 of which 87.3 percent were treated with hemodialysis, 9.7 percent peritoneal dialysis, and 2.8 percent pre-emptive transplants. One third of these patients did not receive pre-ESRD care. Among hemodialysis patients, 98 percent were in-center, 2 percent were at home hemodialysis and 80 percent of hemodialysis patients started dialysis with a catheter. Kidney transplants numbered 20,161 with 28 percent being living donors. In 2016, the total Medicare spending for beneficiaries with kidney disease was nearly $114 billion. Between 2001 and 2016, adjusted mortality rates decreased by 16 percent for dialysis patients. The net reductions in mortality from 2001 to 2016 were 27 percent for hemodialysis patients and 43 percent for peritoneal dialysis patients. This conference will help professional care providers attain knowledge and skills to increase competency and improve CKD and ESRD care.

Accommodations

Accommodations are the responsibility of program participants.

A list of accommodations in the Hershey area is available online or by request. The program recommends that participants make reservations as early as possible.

Credit

AMA

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Penn State College of Medicine and The Kidney Foundation of Central Pennsylvania. Penn State College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Penn State College of Medicine designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses Using AMA Credit

Nurses will receive a certificate from Penn State College of Medicine verifying their participation in 6.5 hours of approved continuing medical education. Continuing education activities which are approved by accredited institutions of higher education and that are relevant to patient care or professional nursing meet the requirements of mandatory continuing education for registered nurses in Pennsylvania, as required by the Pennsylvania State Board of Nursing. The Board of Nursing recommends that nurses retain their certificates for a period of at least five years. Additional information
is available through the State Board of Nursing website.

Pennsylvania Academy of Nutrition & Dietetics

Conference has been approved for 6.5 CPEU Level 1 credits from the Commission on Dietetic Registration.

Social Work

Penn State is an approved provider as defined by Pa. Code Sections 47.36(a)(3), 48.36(a)(3), and 49.36(a)(3). Social workers, marriage and family therapists, and professional counselors licensed by the state of Pennsylvania can earn 6.5 clock hours of continuing education for completing this course.

Invited Faculty

Robin Asick, MSW, LSW, NSW-C
Social Worker
Fresenius Kidney Care
Harrisburg, PA

Laurence Carroll, MD, FASN, FNKF
Board of Directors
The Kidney Foundation of Central PA
Harrisburg, PA

Kenneth Dickinson, BS, MS, RPh, Hon DSc
Consultant/Trainer/Visiting Lecturer
Pennsylvania Nurses Assistance Program (PNAP)
Pennsylvania Recovering Pharmacists Program (SARPH)
Gaudenzia, Inc.
USciences
Philadelphia, PA

Phyllis Hicks, RN, BSN, CLSSGB
Executive Director
Kidney Foundation of Central PA
Harrisburg, PA

Kevin Ho, MD
Clinical Associate Professor of Medicine
Geisinger Commonwealth School of Medicine
Associate Professor of Clinical Research
Kidney Health Research Institute
Department of Nephrology
Geisinger Medical Center
Danville, PA

Kimberly Mentzer, RD, LDN
Dietician
US Renal Care of Carlisle
Carlisle, PA
US Renal Care of Mechanicsburg
Mechanicsburg, PA

David Somerman, DO, FACOI
Hypertension & Kidney Specialists
Lancaster, PA
Faculty Member, UPMC Lititz
Post-Graduate Medical Education
Clinical Instructor
Department of Internal Medicine
Division of Nephrology
Philadelphia College of Osteopathic Medicine
Philadelphia, PA

Barbara Terry
Board President
Kidney Foundation of Central PA
Harrisburg, PA

Kristy Washinger, MSN, FNP-BC
Certified Registered Nurse Practitioner
Nephrology Associates of Central PA
Camp Hill, PA

Jonathan Yawger, RN, CDN
Education Coordinator
Fresenius Kidney Care
Harrisburg, PA

Penn State Faculty

Faisal Aziz, MD, FACS, FSVS
Associate Professor of Surgery
Program Director, Integrated Vascular Surgery Residency
Gilbert and Elsie H. Sealfon Endowed Chief of Vascular Surgery
Penn State Heart and Vascular Institute
Penn State College of Medicine

Umar Farooq, MD, MS
Associate Professor of Medicine
Associate Chief Medical Officer
Penn State Health Medical Group
Chair, Professional Symposium and Education Committee
Division of Nephrology
Penn State College of Medicine

Nasrollah Ghahramani, MD, MS, FACP
Professor of Medicine
Chief of Nephrology
Vice Chair for Educational Affairs
Penn State College of Medicine

Ronald Miller, MD, FACP
Associate Professor of Medicine
Division of Nephrology
Penn State College of Medicine

Kristy Newport, MD, FAAHPM
Assistant Professor of Medicine
Chief, Palliative Care, Penn State Health Milton S. Hershey Medical Center
Director, Palliative Care
Penn State Community Medical Group
Penn State College of Medicine

Navin Verma, MD
Associate Professor of Medicine
Medical Director, Dialysis Services at Penn State Health
Division of Nephrology
Penn State College of Medicine

Emmanuelle Williams, MD
Associate Professor of Medicine
Associate Medical Director
Penn State Inflammatory Bowel Disease Center
Division of Gastroenterology
Department of Medicine
Penn State College of Medicine
Penn State Health

Agenda

7:30 a.m. to 4:15 p.m.

  • 7:30 a.m. | Registration/Continental Breakfast
  • 7:50 a.m. | Welcome
    Umar Farooq, MD, MS
  • 8 a.m. | CKD Global Trends: Past, Present and Future
    Kevin Ho, MD

    • Describe and discuss the changing epidemiological characteristics of and factors contributing to chronic kidney disease world-wide and in the United States, including more recent developments in diabetic kidney disease.
    • Identify and describe temporal trends in the major complications associated with chronic kidney disease: mortality, cardiovascular disease and end-stage kidney disease.
    • Examine the emerging perspective interrelating acute kidney injury and chronic kidney disease as a continuum of kidney injury and the conceptual basis for the recent entity of acute kidney disease.
  • 9 a.m. | Opioid, Cannabis and other Substance Abuse Disorders: Identification, Screening, Referral to Recovery/Treatment for Dialysis Patients
    Kenneth Dickinson, BS, MS, RPh, Hon DSc

    • Identify signs and symptoms of opioid, cannabis and other substance use disorders in persons with chronic kidney disease.
    • Describe the impact of opioid, cannabis and other substance use disorders upon dialysis patients.
    • Explain SBIRT (Screening, Brief Intervention, and Referral to Treatment) and its application to dialysis practice.
  • 9:30 a.m. | Break
  • 10 a.m. | Using POLST to Promote Patient-Centered Care for People with Renal Disease
    Kristy Newport, MD, FAAHPM

    • State elements of and indications for POLST (Physician Orders for Life-Sustaining Treatment).
    • Define illness understanding and prognostic awareness.
    • Identify opportunities to improve communication regarding treatment goals.
  • 10:30 a.m. | Nutrition Concerns of Acute Kidney Injury Patients (AKI)
    Kimberly Mentzer, RD, LDN

    • Discuss AKI patients nutritional needs.
    • Review case studies of AKI patients and their nutritional care plans.
  • 11 a.m. | Anticoagulants and the Renal Patient
    David Somerman, DO, FACOI

    • Describe Novel Oral Anticoagulants (NOAC) and kidney function.
    • Discuss implications of anticoagulation and NOAC with advanced chronic kidney disease.
  • 11:30 a.m. | Patient-Centered Outcomes Research Institute (PCORI) – KFCP Update on Peer Mentoring in CKD
    Nasrollah Ghahramani, MD, MS, FACP

    • Evaluate the impact of peer mentoring on quality of life among patients with chronic kidney disease.
    • Compare the effect of online and in-person peer mentoring on caregiver burden.
    • Illustrate the role of stakeholders in patient-centered research.
  • 11:55 a.m. | Awards for Clinical Excellence (ACE)/Updates/Highlights of Kidney Foundation
    Barbara Terry
    Phyllis Hicks, RN, BSN, CLSSGB
  • 12:10 p.m. | Lunch
  • 1:15 p.m. | Integrated Care of Renal Dialysis Patients: A Panel Discussion
    Moderator: Umar Farooq, MD, MS, FASN
    Panel Members:
    Robin Asick, MSW, LSW, NSW-C
    Kimberly Mentzer, RD, LDN
    Navin Verma, MD
    Kristy Washinger, MSN, FNP-BC
    Jonathan Yawger, RN, CDN

    • Demonstrate a multidisciplinary approach for a complex renal patient on dialysis with multiple medical co-morbidities.
    • Describe psychosocial challenges faced by renal patients and identify ways to support their success.
    • Discuss the work-life-health balance for patients transitioning from traditional in-center hemodialysis to home-based therapies.
  • 2:30 p.m. | Break
  • 2:45 p.m. | Water Treatment for Hemodialysis
    Ronald Miller, MD, FACP

    • Diagram a water treatment plan.
    • Describe the function of each part of the water treatment system.
    • List possible complications of failure of water purification for dialysis patients.
  • 3:15 p.m. | Waste Not Your Skills: Recognizing, Preventing and Treating Burnout in 2019
    Emmanuelle Williams, MD

    • Define “burnout.”
    • Recognize symptoms, consequences and differentiate contributing factors.
    • Personalize burnout prevention and treatment strategies in nephrology.
  • 3:45 p.m. | So Surgery Consult Has Been Placed: What Happens Next?
    Faisal Aziz, MD, FACS, FSVS

    • Describe the basic principles of hemodialysis access creation.
    • Examine fundamentals for hemodialysis access creation and maintenance.
    • Identify most common dialysis access creation procedures.
  • 4:15 p.m. | Adjournment

Fee

Fee is $85 per person and includes instruction, all listed meals, online handout materials and refreshments.

Registrations received after April 15, 2019, will incur a $25 late fee.

Handout Materials

Approximately one week prior to the conference, all registrants will receive an email
notifying them that the handout material is available online. Participants must print their own copies for use during the conference.

Cancellations

Cancellations received after April 9, 2019, will incur a $25 processing fee.

No refunds will be given after April 12, 2019.

The University may cancel or postpone any course or activity. If a program is canceled or postponed, the University will refund registration fees but is not responsible for any related costs, charges or expenses, including cancellation/change charges assessed by airlines or travel agencies. Preregistered participants will be notified if a program is filled or canceled.

Access (ADA)

Penn State encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of special accommodation or have questions about the physical access provided, please contact Continuing Education at least one week in advance of your participation or visit.

Changes

Content and speakers for all programs are subject to change. Registrants will be notified of any significant updates.

Disclosure and Conflict of Interest (COI and educational balance)

It is our policy to ensure balance, independence, objectivity, and scientific rigor in all of our educational programs. Faculty and course directors have disclosed relevant financial relationships with commercial companies, and Penn State has a process in place to resolve any conflict of interest. Complete faculty disclosure will be provided to program participants at the beginning of the activity.

University Nondiscrimination Policy

This publication is available in alternative media on request. The Pennsylvania State University is committed to the policy that all persons shall have equal access to programs, facilities, admission, and employment without regard to personal characteristics not related to ability, performance, or qualifications as determined by University policy or by state or federal authorities. It is the policy of the University to maintain an academic and work environment free of discrimination, including harassment. The Pennsylvania State University prohibits discrimination and harassment against any person because of age, ancestry, color, disability or handicap, genetic information, national origin, race, religious creed, sex, sexual orientation, gender identity, or veteran status and retaliation due to the reporting of discrimination or harassment. Discrimination, harassment, or retaliation against faculty, staff, or students will not be tolerated at The Pennsylvania State University. Direct all inquiries regarding the Nondiscrimination Policy to the Affirmative Action Director, The Pennsylvania State University, 328 Boucke Building, University Park, PA 16802-5901; tel 814-863-0471/TTY. US M.Ed. D6351

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